Proximity of site to vulnerable
accretionary feature:o on a bar, spit or
tombolo (EH, DNB)o within 100 m of a
bar, spit or tombolo (H, 3)o behind a cuspate
foreland (L, 1)o none of these
features exist (NR, 0)

Proximity of site to river mouth or
tidal inlet:o within a distance
of 10 times the width of the river mouth (EH, DNB)o within a distance
of 1 km of a tidal inlet (H, 3)o neither of these
conditions exist (NR, 0)

Thank you for completing this
data card. Answer the questions and return to your area coordinator or to the
address at the bottom of this card. This information will be used in the Centre
for Marine Conservation's National Marine Debris Data Base and Report to help
develop solutions to stopping marine debris.

Name ____________________________

Affiliation
_____________

Address ____________

Occupation _____

Phone ________

City _______________

State ___

Zip __

M __

F __

Age __

Today's date: Month __

Day __

Year __

Name of
coordinator __________

Location of beach
cleaned ______________

Nearest city
_________________

How did you hear
aout the cleanup? __________________________________

SAFETY TIPS

Do not go near any large
drums.

Be careful with sharp objects.

Wear gloves.

Stay out of the dunes areas.

Watch out for snakes.

Don't lift anything too heavy.

WE WANT YOU TO BE
SAFE

Number of people
working on this data card _______
Estimated distance of beach cleaned _______
Number of bags filled _______

SOURCES OF
DEBRIS.Please list all items with foreign labels (such as
plastic bleach bottles from Mexico) or other markigs that
indicate the items origin (such as cruise line names, military
identification or debris and/or address of shipping/freighting
or fishing companies, or oil/gas exploration activities)

SOURCE

ITEM FOUND

EXAMPLE
ABC Shipping Company

plastic strapping
band

STRANDED AND/OR
ENTANGLED ANIMALS (Please describe type of animal and type of entangling
debris. Be as specific as you can)

You may find it helpful to work with a
buddy as you clean the beach, one of you picking up trash and the other
taking notes. An easy way to keep track of the items you find is by
making tick marks. The box is for total items, see sample below.

Example
egg cartonsllll
llll llll l

TOTAL

16

cups llll
llll llll llll ll

TOTAL

22

PLASTIC

total
number
of items

total
number
of items

bags:

fishing nets
_______________

food
bags/wrappers _______________

hard hats _______________

trash
_______________

light sticks _______________

salt _______________

pieces _______________

other
bags _______________

pipe thread protector
_______________

bottles:

rope _______________

beverage/soda _______________

sheeting:

bleach, cleaner _______________

longer than 2 feet _______________

milk,
water gal. jugs _______________

2
feet or shorter _______________

oil,
lube _______________

6 pack holders _______________

other
bottles _______________

strapping bands
_______________

beverage/soda _______________

straws _______________

buckets _______________

syringes _______________

caps, lids _______________

tampon applicators
_______________

cigarette filters
_______________

toys _______________

cups, utensils _______________

vegetable sacks
_______________

diapers _______________

'write protector' rings
_______________

fishing line
_______________

other plastic (specify)
_________

fishing lures, floats
_______________

______________

STYROFOAM®(or other plastic foam)

buoys _______________

packaging material
_______________

cups _______________

pieces _______________

egg cartons _______________

plates _______________

fast food containers
_______________

other Styrofoam®
(specify) _____

meat trays _______________

_______________

GLASS

bottles/jars:

flourescent light tubes
_______________

beverage bottles _______________

light bulbs _______________

food
jars _______________

pieces _______________

other
bottles/jars _______________

other glass (specify)
_______________

RUBBER

ballons _______________

tires _______________

condoms _______________

other rubber (specify)
___________

gloves _______________

_______________

METAL

bottle caps _______________

55 gallon drums:

cans:

rusty
_______________

aerosol _______________

new
_______________

beverage _______________

pieces _______________

food
_______________

pull tabs _______________

other
_______________

wire _______________

crab/fish traps
_______________

other metal (specify)
_______________

PAPER

bags _______________

newspapers/magazines
_______________

cardboard _______________

pieces _______________

cartons _______________

plates _______________

cups _______________

other paper (specify)
_______________

WOOD(leave driftwood on the beach)

crab/lobster traps
_______________

pallets _______________

crates _______________

other wood (specify)
_______________

lumber pieces _______________

CLOTH

clothing/pieces
_______________

Remember to
turn the card over and fill out your name and address and to record
sources and entangled wildlife!